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Specialty: General Medicine
Education: Education

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Total 283 results found since Jan 2013.

Novel Oral Anticoagulants
Abstract: Warfarin has a proven record as an oral anticoagulant; almost every study, however, has found that it is not prescribed for 40–60% of patients who are eligible and should receive it, and of those who do receive it, serum warfarin levels only achieved a time in therapeutic range (TTR) equal to INR 2–3 about 55–60% of the time (online video available at: http://education.amjmed.com/video.php?event_id=445&stage_id=5&vcs=1). This means that only about 1 in 4 patients are adequately anticoagulated with warfarin, and thus there is a large unmet need for achieving better anticoagulation in these patients. Although...
Source: The American Journal of Medicine - March 24, 2014 Category: Journals (General) Authors: James A. Reiffel Tags: CME multimedia activities Source Type: research

AFib in Special Populations
Abstract: For physicians who see and treat patients who present with AFib in routine clinical practice there are 4 important factors to understand and bear in mind when diagnosing and planning treatment strategies: age, gender, prior or incident heart failure, and underlying coronary artery disease (CAD) and acute coronary syndrome (ACS). (online video available at: http://education.amjmed.com/video.php?event_id=445&stage_id=5&vcs=1). This review addresses the clinical characteristics of each of these presentations in order. For all patients with AFib, of either gender or any age, the greatest risk is failure to prescrib...
Source: The American Journal of Medicine - March 24, 2014 Category: Journals (General) Authors: William J. French Tags: CME multimedia activities Source Type: research

Top medicine articles for April 2014
A collection of some interesting medical articles published recently:A Big Bet on Gluten-Free: 11% of households reporting purchases of gluten-free foods in 2013 (doubled in 3 yrs). 30% of the public says it would like to cut back on the amount of gluten it’s eating. "There is a growing population of people who have somehow heard that gluten-free is healthier or think of it as fashionable, and when they remove gluten from their diet, they’re inadvertently taking out a lot of processed foods and are really feeling the benefits of eating healthier foods.” http://buff.ly/1mt9phmNew nomenclature and classifications are p...
Source: Clinical Cases and Images - April 23, 2014 Category: Journals (General) Tags: Health News of the Day Source Type: news

Cognitive and emotional effects of carotid stenosis.
CONCLUSIONS: Cognitive impairment and increased level of anxiety are frequent in patients with carotid stenosis. The lack of a correlation between cognitive functioning and degree of stenosis or the presence of collaterals, challenges the view that CAS per se leads to cognitive impairment. PMID: 24984222 [PubMed - in process]
Source: Swiss Medical Weekly - July 3, 2014 Category: Journals (General) Authors: Everts R, Wapp M, Burren Y, Kellner-Weldon F, El-Koussy M, Kay J, Delameilluer Lenoir J, Michel P, Schroth G Tags: Swiss Med Wkly Source Type: research

Sleep apnea ABCs: Airway, breathing, circulation
Obstructive sleep apnea (OSA) is increasingly common but largely underrecognized. Untreated, it is associated with heart disease, stroke, and sudden nocturnal death. Simple clinical assessments can determine if a patient is likely to have OSA and is a candidate for diagnostic polysomnography. Continuous positive airway pressure (CPAP) is the mainstay of treatment and ameliorates symptoms as well as long-term sequelae. Patient education and effective troubleshooting and evaluation of CPAP adherence issues increase successful adjustment to therapy. Alternative treatments can be considered in those whose OSA does not respond ...
Source: Cleveland Clinic Journal of Medicine - August 1, 2014 Category: Journals (General) Authors: MEHRA, R. Tags: Medical Grand Rounds Source Type: research

Republished: Clinical implications of the Third Universal Definition of Myocardial Infarction
The definition of myocardial infarction (MI) continues to evolve as refined ECG criteria, more advanced imaging, and more sensitive and specific biomarkers are developed. The acceptance globally of a clinically practical standard definition for everyday practice would allow for better comparisons across clinical experiences and further facilitate research in this critical area. Because of the evolution of better diagnostic tools and more information about the value and limitations of previous definitions, there was a need to update the Universal Definition of MI published in 20071 and this has recently been accomplished.2 ...
Source: Postgraduate Medical Journal - August 18, 2014 Category: Journals (General) Authors: White, H. D., Thygesen, K., Alpert, J. S., Jaffe, A. S. Tags: Cardiomyopathy, Drugs: cardiovascular system, Stroke, Interventional cardiology, Ischaemic heart disease, Venous thromboembolism, Radiology, Clinical diagnostic tests, Cardiothoracic surgery, Vascular surgery Republished education in heart Source Type: research

Role of respondents' education as a mediator and moderator in the association between childhood socio-economic status and later health and wellbeing
Conclusions: Childhood financial conditions have a unique direct effect on a wide range of health and wellbeing measures. These findings apply to both men and women. Generally, parental education has an indirect effect on later health, but mothers' education may also have a long-term direct effect on later health.
Source: BioMed Central - November 18, 2014 Category: Journals (General) Authors: Mashhood Ahmed SheikhBirgit AbelsenJan Abel Olsen Source Type: research

Protocol for REducing Anti-Psychotic use in residential care-Huntington Disease (REAP-HD): a pilot cluster randomised controlled trial of a multifaceted intervention for health professionals
This study aims to test the hypothesis that the multifaceted REducing Anti-Psychotic use in residential care-Huntington Disease (REAP-HD) programme is more effective than standard staff education (SSE) in reducing antipsychotic use for people with HD in residential care facilities (RCF). Methods and analysis this is a cluster randomised controlled trial with blinded outcome assessment. The study population is healthcare professionals looking after people with HD in individual RCF, in the state of New South Wales. Each RCF will be centrally randomised to the REAP-HD programme or the comparator, SSE. Blinded outcome assessm...
Source: BMJ Open - December 2, 2014 Category: Journals (General) Authors: Loy, C. T., Hayen, A., McKinnon, C. Tags: Open access, Mental health, Neurology Protocol Source Type: research

Self-rated health and standard risk factors for myocardial infarction: a cohort study
Conclusions This study supports the use of self-rated health as a standard risk factor among others for myocardial infarction. It remains to demonstrate whether self-rated health adds predictive value for myocardial infarction in combined algorithms with standard risk factors.
Source: BMJ Open - February 13, 2015 Category: Journals (General) Authors: Waller, G., Janlert, U., Norberg, M., Lundqvist, R., Forssen, A. Tags: Open access, Cardiovascular medicine, Public health Research Source Type: research

Association between C reactive protein level and depressive symptoms in an elderly Korean population: Korean Social Life, Health and Aging Project
Conclusions Our findings suggest that elevated CRP levels are independently associated with the presence of depressive symptoms in elderly Korean men.
Source: BMJ Open - February 23, 2015 Category: Journals (General) Authors: Song, B. M., Lee, J.-M., Choi, W., Youm, Y., Chu, S. H., Park, Y.-R., Kim, H. C. Tags: Open access, Epidemiology, Geriatric medicine, Public health Research Source Type: research

Informed shared decision-making programme on the prevention of myocardial infarction in type 2 diabetes: a randomised controlled trial
Conclusions The ISDM-P on preventive measures in type 2 diabetes was effective under high fidelity conditions. Involvement of diabetes educators may facilitate implementation of the informed shared decision-making. Trial registration number ISRCTN84636255.
Source: BMJ Open - November 13, 2015 Category: Journals (General) Authors: Buhse, S., Mühlhauser, I., Heller, T., Kuniss, N., Müller, U. A., Kasper, J., Lehmann, T., Lenz, M. Tags: Open access, Evidence based practice, Medical education and training Research Source Type: research

COGNITIVE-HD study: protocol of an observational study of neurocognitive functioning and association with clinical outcomes in adults with end-stage kidney disease treated with haemodialysis
Introduction The prevalence of cognitive impairment may be increased in adults with end-stage kidney disease compared with the general population. However, the specific patterns of cognitive impairment and association of cognitive dysfunction with activities of daily living and clinical outcomes (including withdrawal from treatment) among haemodialysis patients remain incompletely understood. The COGNITIVE impairment in adults with end-stage kidney disease treated with HemoDialysis (COGNITIVE-HD) study aims to characterise the age-adjusted and education-adjusted patterns of cognitive impairment (using comprehensive testing...
Source: BMJ Open - December 9, 2015 Category: Journals (General) Authors: Palmer, S. C., Ruospo, M., Barulli, M. R., Iurillo, A., Saglimbene, V., Natale, P., Gargano, L., Murgo, A. M., Loy, C., van Zwieten, A., Wong, G., Tortelli, R., Craig, J. C., Johnson, D. W., Tonelli, M., Hegbrant, J., Wollheim, C., Logroscino, G., Strippo Tags: Open access, Epidemiology, Neurology Protocol Source Type: research

Implementing guidelines to routinely prevent chronic vascular disease in primary care: the Preventive Evidence into Practice cluster randomised controlled trial
Conclusions This intervention was associated with improved recording of some risk factors but no change in the level of risk at the follow-up audit. Trial registration number Australian and New Zealand Clinical Trials Register (ANZCTR): ACTRN12612000578808, results.
Source: BMJ Open - December 11, 2015 Category: Journals (General) Authors: Harris, M. F., Parker, S. M., Litt, J., van Driel, M., Russell, G., Mazza, D., Jayasinghe, U. W., Del Mar, C., Lloyd, J., Smith, J., Zwar, N., Taylor, R., Powell Davies, G., On behalf of the Preventive Evidence into Practice (PEP) Partnership Group, On be Tags: Open access, Cardiovascular medicine, Evidence based practice, General practice / Family practice, Health services research, Public health, Diabetes and Endocrinology Source Type: research

In-home care for optimizing chronic disease management in the community: an evidence-based analysis.
CONCLUSIONS: In summary, education-based in-home care is effective at improving outcomes of patients with a range of heart disease severity when delivered by nurses during a single home visit or on an ongoing basis. In-home visits by occupational therapists and physical therapists targeting modification of tasks and the home environment improved functional activities for community-living adults with chronic disease. PMID: 24167539 [PubMed - indexed for MEDLINE]
Source: Ontario Health Technology Assessment Series - December 20, 2015 Category: Journals (General) Tags: Ont Health Technol Assess Ser Source Type: research

Is Alzheimer disease related to age-related macular degeneration?
CONCLUSION: The increased frequency of AD in patients with AMD is significant. This study demonstrated the importance of cognitive assessment in patients with AMD, particularly in the d-AMD type. PMID: 26738356 [PubMed - in process]
Source: Turkish Journal of Medical Sciences - January 12, 2016 Category: Journals (General) Tags: Turk J Med Sci Source Type: research